What Is Premature Ejaculation?
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What Is Premature Ejaculation?

Published on Apr 11, 2018 and last reviewed on Sep 16, 2023   -  4 min read


A huge percentage of young men ejaculate within a few seconds or with minimal strokes during sexual intercourse. Read the article to know in detail about premature ejaculation.

What Is Premature Ejaculation?

What Is Ejaculation, and How Does It Work?

The central nervous system will control the process of ejaculation. When a male is sexually excited, the signals will be sent to stimulate the spine and brain. When he is further excited, signals will be passed from the brain to the reproductive organs. This will cause the semen to be ejaculated from the penis during sexual activity. The ejaculation can occur in two phases:

  1. Emission.

  2. Expulsion.

The vasa deferentia are the tubes used to move the sperm from the testicles to the base of the penis via the prostate gland. The process of mixing the sperm with the seminal fluid in the prostate gland to make semen is called the emission.

The ejaculation and orgasm will happen at the same time. When the muscles under the penis get contracted to push the semen out of the penis, it is called expulsion. Usually, the erection goes away after this process. Few men may achieve orgasm even without ejaculation.

What Is Premature Ejaculation?

This is the most common male sexual problem. It is very stressful for both partners when this happens, and it can even lead to marital disharmony and discord. Fortunately, it can be overcome and even treated.

What Are the Types of Premature Ejaculation?

Premature ejaculation can be classified as:

  • Primary Premature Ejaculation: It is also called lifelong premature ejaculation. It can occur most of the time, from the first sexual encounters.

  • Secondary Premature Ejaculation: It can also be called acquired premature ejaculation. It can develop after men have had previous sexual experiences without ejaculatory problems.

What Are the Symptoms of Premature Ejaculation?

The main symptom of premature ejaculation is the inability to delay ejaculation for more than a minute after penetration during sexual intercourse.

The other symptoms of premature ejaculation are:

What Are the Causes of Premature Ejaculation?

Psychological problems can cause premature ejaculation. This may include:

  • Stress.

  • Depression.

  • Anxiety.

  • Guilt.

  • Relationship problems.

  • Poor body image.

  • Lack of confidence.

  • Concern over your sexual performance.

  • Negative feelings about the idea of sex.

  • Masturbation in their teenage years.

  • Worrying about premature ejaculation.

  • Traumatic experiences like sexual assault or incest.

The following biological factors can also cause premature ejaculation:

  • Abnormal hormone levels.

  • Infection in the prostate or urethra.

  • Abnormal neurotransmitter levels.

  • Genetics.

  • Other factors include erectile dysfunction and stress.

When to Seek Help from a Doctor for Premature Ejaculation?

You can seek help from a doctor for premature ejaculation:

  • When PE has occurred many times to cause relationship problems.

  • When PE makes you feel self-conscious.

  • When PE keeps you from proceeding with intimate relationships.

How to Manage Premature Ejaculation?


Premature ejaculation (rapid climax within seconds) is common. It is natural in people with an overly sensitive penis, but it is distressing and disappointing for the couple. To overcome the problem naturally, one needs to understand how exactly it happens and learn how to stop it. It is somewhat like learning control on urination or on passing stools. This we all have learned in our childhood. Similarly, one can learn control over ejaculation with a few weeks of practice.

To gain ejaculatory control, follow the instructions mentioned:

  • Learn to indulge in foreplay.

  • Do not penetrate the vagina quickly. Penetrate slowly in stages.

  • Once you penetrate, do not start thrusting right away. Wait for a few seconds before you do.

  • If you feel you are close, inhale deeply or think of something boring to distract yourself.

  • After this gap of a few seconds, you may resume thrusting again.

Please read it a few times and practice.

Immediate Relief:

For immediate relief, I suggest applying a thin layer of Gesicain 5 % ointment (Lidocaine) or Xylocaine to the head of the penis 10 to 20 minutes before intercourse. Wipe it off (not wash) with a cloth before inserting the penis. This has no side effects. It will reduce the over-sensitivity of the tip of the penis for a few minutes and thus help the male stay longer in vaginal intercourse. Each time you participate in sex, it should be repeated until control is gained through the above natural method.


Alternatively, I suggest taking Dapoxetine tablets such as Duralast 30 mg or tablet Sustinex 30 mg about one to three hours before intercourse. Some people may get mild (tolerable) side effects from this medicine. Consult your specialist doctor, discuss with them and start taking the medication with their consent.

Ayurvedic Preparations:

Several ayurvedic preparations claim to increase the intravaginal latency (ability to stay longer in vaginal intercourse). Vitex and X-tone are two such herbal preparations.

The best remedy for premature ejaculation is to concentrate on your partner correctly. This can help you maintain and enjoy a fulfilling emotion with your partner while naturally controlling when you ejaculate.

However, too much focus on your partner can also cause you to lose erection hardness.

How to Prevent Premature Ejaculation?

  • Perform pelvic floor exercises.

  • Pause-start method - stop the stimulation for 30-60 seconds, then start again.

  • Squeeze technique- when ejaculation approaches, withdraw the penis and squeeze the head until the sensation passes.

What Are the Complications of Premature Ejaculation?

If untreated, PE may lead to:

  • A common complication of premature ejaculation is stress and relationship problems.

  • Fertility problems can result from PE, making it difficult to get pregnant when one does not ejaculate intravaginally.


Premature ejaculation can be treated successfully by proper medical counseling with a doctor to help lessen its concerns to put your sex life back on track.

Frequently Asked Questions


What exactly is premature ejaculation?

The release of semen during orgasm is called ejaculation. The average time for ejaculation for men is 6 minutes. When a man ejaculates sooner than his partner would like (1 to 2 minutes), it is called premature ejaculation.


What is the leading cause of premature ejaculation?

Even though the exact cause is not known, PE is believed to occur due to a combination of psychological and physical factors. The common causes include:
- Psychological factors - Depression, sexual abuse, anxiety, and worrying about ejaculating early.
- Physical - Erectile dysfunction, abnormal hormone levels, and problems of the sex organs.


How long should a man normally last before ejaculation?

Most men ejaculate between 4 and 11 minutes.


Can premature ejaculation be cured?

If you have had this problem lifelong, then this condition is tricky to treat. But with the right psychological therapy, physical training, and medicines, most cases of premature ejaculation can be reversed.


Can garlic help treat premature ejaculation?

Garlic contains allicin, which stimulates blood flow to the sexual organs in both men and women. As it is also rich in zinc and magnesium, it helps increase the time it takes for you to reach an orgasm.


How to stop premature ejaculation immediately?

You can try these two methods to stop yourself from ejaculating:
- Start-stop method - Here, your partner stimulates your penis until you are close to an orgasm, and stops until the feeling passes.
- Pause-squeeze method - In this method, your penis is stimulated until you are close to an orgasm, and then your partner should firmly squeeze your penis. This will weaken your erection and you can start over.


How to cure premature ejaculation naturally?

Some natural and home remedies for premature ejaculation are:
- Ayurvedic medicines.
- Chinese herbal medicines.
- Topical anesthetic creams.
- Anesthetic spray.
- Zinc supplements.
- Start-stop technique.
- Pause-squeeze technique.
- Desensitizing condoms.
- Pelvic floor exercises.


Can exercise help treat premature ejaculation?

You can treat this condition by doing pelvic floor exercises. This helps strengthen your pelvic floor muscles, which lets you control ejaculation better.


How to get rid of premature ejaculation?

The treatment options for premature ejaculation are:
- Start-stop technique.
- Pause-squeeze technique.
- Pelvic floor exercises.
- Using topical anesthetic spray or gel or condoms.
- Medications (Tadalafil, Sildenafil).
- Psychotherapy.
- Sex therapy.

Last reviewed at:
16 Sep 2023  -  4 min read




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